Heart Disease Community
Abnormal EKG
About This Community:

Join others with Heart Disease and get guidance and support. Ask a question, join a conversation, share experiences.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Abnormal EKG

Hi, I am 43 y.o female. Aprox 6 weeks ago I experienced chest pain  just under my left breat bone with pain up into my left jaw area. It lasted for several minutes and for the next three days I was extremely exhausted. It was all I could do to get out of bed. I have a history of high blood pressure. usually aprox 140/90ish. I take Diovan 80 mgs. and Dyazide daily.
I went to my family doctor about a week later and she did an ekg. After she read the ekg she sent me for a nuclear stress test the script stated r/o ischemia C.P. abnormal EKG, dyspnea and fatigue.
At the site for the test they did the before pictures.. hooked me up to the ekg and then called in the cardiologist, who looked at the ekg and then ordered an echo to be done that day.  Sorry if this is a bit long but I am worried and would love some professional input into the situation. Thank you so much for your review.

Here are my results for stress:

Stress Findings: patient underwent Adenosine protocol. The patient had symptons of dyspnea and fatigue. Patient had transient AV Block during infusion. The blood pressure response to stressor was normal; resting 140/90 mmHg, peak 180/96 mmHg. The exercise EKG is nondiagnostic.
(however I remember them taking a b.p of 210/100 at one point during test.)

Image Finding: Oncine loop images, there is breast attenuation noted. The left ventricular size is normal.
Perfusion imaging: No evidece of Ischemia
Gated Images: There are no wall motion abnormalities with normal thickening. The computer generated fraction is 56%. The end diastolic volume is 86 ml.


Conclusions:
Stress EKG: Nondiagnostic. The patient did not experience chest pain.
Perfusion: No evidence of ischemia
Gated Images: Normal Function.

ECHO Results:

Doppler:
Mitral Valve:0.70
Regurgatiation : trace
P 1/2 Time : 70

Tricuspid Valve: 0.60
Regurgatation: Trace
Peak TR Velocity 2.20 m/sec
PA Sys. Pressure: 24 mmHg

Pulmonic Valve: 0.60
Regurgitation: Trace


Left Ventricle : Normal size, Borderline Concentric Left Ventricular Hypertrophy. Left Ventricular ejection fraction is 60%. Normal left ventricular systolic function. E/E` ration of 7.00. E` of 10 cm/sec. No regional wall motion abnormalities.

Mitral Valve: normal mitral valve leaflets. Mitral valve pressure half time of 70 secs. Trace mitral regurgitation.

Aortic Valve: trileaflet aortic valve. Peak gradient of 7 mmHg across the aortic valve. No Aortic regurgitation.

Aorta/Pulmonary Artery: Normal zsize aortic root. Normal size ascending aorta.

Left Atrium: Normal left atrial size.

Tricuspid Valve/Pulmonic Valve: Normal tricuspid valve. Trace tricuspid regurgitation. Estimated pulmonary artery systolic pressure of 34 mmHg assuming a right atrial pressure of 5 mmHg. Normal pulmonic valve. Trace pulmonic regugitation.

Reight Ventricle and Right Atrium: Normal right ventricular size. Normal right ventricular systolic function. Normal right atrial size.

Pericardium: No visible preicardial abnomality. No pericardial effusion.

Other: Normal interventricular septum.

Conclusion:
1. Normal left ventricular systolic function.
2. Borderline left ventriculary hypertrophy.

Related Discussions
2 Comments Post a Comment
Blank
Avatar n tn
I wanted to Add:
M-Mode:
Left Ventricle:                         Right Ventricle:                                  Aorta:
Lvidd   4.40                                           Rvidd      2.80                        Ao Root       3.00
Lvids   3.10                                                                                       Valve            2.10
Lvsd    1.20
Plvw    1.20

Left Artium:    3.90
Ejection Faction 60
Blank
159619 tn?1318997813
These are very good results, I don't see anything to worry about. I'm not a doctor but I have researched these things and everything here looks good in my opinion! The only issue is the borderline LV hypertrophy, but your wall (lvsd) size is 1.2 cm which is the upper limit of normal so it should just be watched (I have the same thing on my report).

Tony
Blank
Post a Comment
To
Top Heart Disease Answerers
11548417 tn?1440481484
Blank
Ger57
Netherlands
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
4522800 tn?1459192030
Blank
VICourageous commented on clean_in_ks's status
1 hr ago
4522800 tn?1459192030
Blank
VICourageous commented on dominosarah's status
Jun 26
4522800 tn?1459192030
Blank
VICourageous commented on spider6's status
Jun 25
Heart Disease Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
11548417 tn?1440481484
Blank
Ger57
Netherlands
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222